Healthcare Provider Details

I. General information

NPI: 1922962588
Provider Name (Legal Business Name): SISTERS' HOUSE COMMUNITY SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W MLK # 1054
CHATTANOOGA TN
37402-2560
US

IV. Provider business mailing address

1605 PARKWAY DR
CHATTANOOGA TN
37406-2753
US

V. Phone/Fax

Practice location:
  • Phone: 423-206-6911
  • Fax:
Mailing address:
  • Phone: 423-206-6911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELA L. ROBERTS
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 423-206-6911